Shelli Thomson graduated from CSULA and works as a chemist for Sargent Chemical

Corp.

2. Shelli Thomson's

a. Birthday is January 1, 1970;

b. Social Security number is 111-11-1113;

c. Address is 7605 Walnut Street, Los Angeles, CA 90013;

2

d. Tax return filing status is single;

e. Her ordinary income tax rate is 10%.

3. For line 11 of the Form 1040, multiply the total amount of income you entered on line 10

of the Form 1040 by 10% (Shelli's income tax rate) and enter that amount on line 11.

4. For the taxable year, Shelli:

a. Earned $50,000 in wages as a chemist

b. Her employer, Sargent Chemical Corp, did not withhold federal and state income

taxes;

c. Received $200 of interest on her savings bank account;

d. Paid $7,000 in out-of-pocket medical expenses including co-pays for prescription

drugs and doctor appointments;

e. Paid property (real estate) taxes of $5,000 to the city of Los Angeles;

f. Paid $10,000 in home mortgage interest on her home mortgage. Her mortgage was

$100,000 and was secured by her home;

g. Incurred a $2,000 theft loss;

h. Incurred a $3,000 casualty loss after her home was damaged by a tornado in a

federally declared disaster area;

i. Donated $200 in cash to a tax-exempt charity; and

j. Can claim a $500 American Opportunity Credit.

lli Thomson's a. OMB No. 1545-007 SCHEDULE 3 (Form 1040 or 1040-SR) Additional Credits and Payments 2019 Department of the Treasury Attach to Form 1040 or 1040-SR. Attachment Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 03 Your social security numbe Name(s) shown on Form 1040 or 1040-SR Part I Nonrefundable Credits Foreign tax credit. Attach Form 1116 if required 1 Credit for child and dependent care expenses. Attach Form 2441 2 Education credits from Form 8863, line 19 . 3 1 A W Retirement savings contributions credit. Attach Form 8880 4 Residential energy credits. Attach Form 5695 . 5 Other credits from Form: a 3800 b 8801 CO 6 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b 7 Part II Other Payments and Refundable Credits 2019 estimated tax payments and amount applied from 2018 return 8 Net premium tax credit. Attach Form 8962 . 9 10 Amount paid with request for extension to file (see instructions) 10 11 Excess social security and tier 1 RRTA tax withheld . 11 12 Credit for federal tax on fuels. Attach Form 4136 . 12 13 Credits from Form: a 2439 b Reserved c 8885 do 13 14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d 14 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040 or 1040-SR)